Female

Elizabeth W. Gray DNP, AGNP-C

Nurse Practitioner in Charlotte, NC(View on Map)

Full Name

Elizabeth Walters Gray DNP, AGNP-C

NPI Number

1366925158

NPI Type

Individual Provider

Gender

Female

Enumeration Date

09/08/2018

Specialties

(Taxonomies)

Code

363L00000X
363LG0600X

Primary Taxonomy

Yes
No

Licenses

State

North Carolina

License Number

5010956

Contact
Information

Purpose

Mailing
Location

Address

5960 FAIRVIEW RD STE 500
6060 PIEDMONT ROW DR S FL 10

City

Charlotte
Charlotte

State

NC
NC

Postal Code

28210-3113
28287-3893

Country

US
US

Telephone Number

(704) 495-6324
(704) 489-3094

Identifiers

Identifier

1366925158

Identifier State

NC

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 02/20/2023

Provider Address

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